Precious Lives Home Vadnais Heights LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRECIOUS LIVES HOME VADNAIS HEIGHTS LLC

Practice address

60 Suzanne Ave
Vadnais Heights, MN 55127-4116

Phone

(651) 468-8438

NPI assigned

Jul 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renellen De Los Santos

Title

Owner

Phone

(651) 468-8438

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1265928295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SUZANNE AVE",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551274116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SUZANNE AVE",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551274116",
            "telephone_number": "651-468-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS LIVES HOME VADNAIS HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "DE LOS SANTOS",
        "authorized_official_first_name": "RENELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-468-8438"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.